Surgical Interventions for Paranasal sinus tumours will be discussed.
DTSTAMP:20260805T031224Z LOCATION:Humanitarian + Transverse Activities + Global Outreach 2 SUMMARY:Surgical Interventions for Paranasal sinus tumours - Alfred Aga\, F ikret Kasapoglu\, Răzvan Hainăroșie\, İrfan Umay\, Ghassan Alokby URL:https://sciencenext.org/ifos2026/talk/7V3HDM/ END:VEVENT BEGIN:VEVENT UID:pretalx-ifos2026-7HFFPY@sciencenext.org DTSTART;TZID=EET:20260912T104500 DTEND;TZID=EET:20260912T114500 DESCRIPTION:Pediatric ENT Problems will be discussed.
Title
From Deaf Childre n to Local ENT Autonomy: Twenty Years of Pediatric Otology in Cambodia
Background
Chronic ear di sease remains a major cause of preventable hearing loss in children living in low- and middle-income countries (LMICs). In Cambodia\, the lack of EN T specialists\, imaging facilities and surgical infrastructure initially l imited access to adequate care. The ASEAR humanitarian program has provide d pediatric otologic care for more than 20 years and offers a unique persp ective on the evolution of hearing healthcare in a developing country.
Methods
We reviewed the e volution of the ASEAR program from 2000 to 2024 through three successive p hases: establishment of a referral-based surgical program\, development of local ENT training\, and implementation of advanced otologic and hearing rehabilitation procedures. Historical surgical outcomes were compared with current practice after the emergence of trained Cambodian ENT surgeons an d the introduction of cone-beam CT imaging.
Results
During the first phase\, more than 5\,000 pa tients were screened and over 700 ear procedures were performed. Children frequently presented with advanced chronic suppurative otitis media and ch olesteatoma. Cholesteatoma represented one-third of operated cases and sev ere complications including facial paralysis\, dead ear and intracranial i nfection were common. Because long-term follow-up was uncertain\, disease eradication was prioritized through radical procedures.
The creation of local ENT res idency programs and the training of Cambodian otologists\, including Dr So kdavy Touch\, progressively transformed the model. The introduction of con e-beam CT imaging enabled more accurate staging and postoperative surveill ance\, allowing selected conservative cholesteatoma surgery and functional reconstruction. Current outcomes approach those reported in developed cou ntries while reducing dependence on foreign surgical missions.
Seven bone-anchored he aring devices were implanted. Although hearing benefit was satisfactory in selected patients\, a high rate of fixture loss and limited acceptance\, particularly in unilateral hearing loss\, highlighted the challenges of im plantable hearing technologies in LMIC settings.
Conclusions
The major challenge in pediatric ot ology in LMICs is not only surgery but sustainable capacity building. Long -term improvements were achieved through infrastructure development\, loca l specialist training\, imaging availability and progressive transfer of e xpertise. The ultimate goal is to move from disease control toward durable hearing rehabilitation delivered by autonomous local teams.
DTSTAMP:20260805T031224Z LOCATION:Humanitarian + Transverse Activities + Global Outreach 2 SUMMARY:Pediatric ENT Problems - Jean Baptiste Lecanu\, Vincent Cousins\, M ümtaz Taner Torun\, Ostap Orishchak\, Haşmet Yeğin\, Ghassan Alokby URL:https://sciencenext.org/ifos2026/talk/7HFFPY/ END:VEVENT END:VCALENDAR